IndividualActive
Stacy Medina, OTR/L
NPI 1154639516 · Occupational Therapist · Oregon City, OR
Provider details
- NPI number
- 1154639516
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 259914 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1680 Molalla Ave.
Oregon City, OR 97045
Phone: (503) 655-2588
Fax: (503) 655-8791
Approximate (ZIP-level) locationGet directions
Mailing address
4560 Se International Way
Milwaukie, OR 97222
Registry dates
- Enumerated
- 2010-09-20
- Last updated
- 2010-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.